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Surgery Mcq Of The Day
Question: A 65-year old patient presents with obstructive jaundice and 15 kg weight loss. An ultrasound shows a 4 cm mass in the head of the pancreas with dilated bile ducts. Further work up includes a helical CT scan. The study shows several lesions consistent with metastasis in the right and left lobes of the liver and encasement of gastro duodenal artery. The most appropriate treatment would be ?
A) Pancreaticoduodenectomy (Whipple procedure)
B) Total pancreatectomy
C) Endoscopic stenting of bile duct
D) Biliary and gastric bypass
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